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Reuben Drug Classes and Actions Nsaids
Reuben Drug Classes and Actions Nsaids
Inhibits Cyclooxygenase (COX) : COX-1 and COX-2 helps in the Interactions Increases Decreases
production of prostaglandins, which are responsible for aiding the Aspirin GI Side Effects Effectiveness of NSAID
inflammatory response by acting as a vasodilator and inhibiting the
Diuretics Effects of Diurectic
aggregation of blood platelets.
Antihypertensive Effects of Antihypertensives
Antipyretic Properties : Can be used to treat fever. Works on the
hypothalamus by inhibiting prostaglandin E2 (PGE2) via COX, which
Side Effects
raises the thermal set point.
Gastrointestinal Ulcers & Bleeds Dry Eyes
COX-1 acts on the mucosa lining of the stomach to keep it from
being eroded away by stomach acid. Myocardial Infarction Dizziness
COX-2 does not act on the lining of the stomach, so certain NSAIDs Nephropathy Diarrhea
which work on COX-2 but not COX-1 are preferable to keep the Raised Liver Enzymes Nausea
function of the stomach intact and protected. Hypertension Dyspepsia
Salt & Fluid Retention Bronchospasms
Generic & Trade Names
Pharmacodynamics/Kinetics
Generic Trade Route
Oral Serum
Diclofenac Voltaren Oral,
Onset 30-60 Minutes .
Ibuprofen Advil, Motrin Oral, Parenteral
Peak 2-4 Hours 2-2.5 Hours
Naproxen Aleve Oral
Duration 6-8 Hours .
Absorption Rapid Readily
COX-2 Selective
Celecoxib Celebrex Nursing Diagnoses
Morniflumate
Nursing Diagnoses
Etoricoxib
Acute Pain Indications
Nimesulide
Risk for imbalanced body temperature Indications
Parecoxcib
Deficient knowledge r/t 1. disease process or/and 2. Indicates
Talniflumate medication regimen Teaching
Patient Education .
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Take NSAIDs with meals or a glass of milk.
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Remain upright for 15-30 minutes after taking NSAIDs.
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Avoid use of alcohol to prevent GI ulceration & Bleeding
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Do not take in combination with other NSAIDs, acetaminophen, and
salicylates. .
Avoid taking for long periods of time, advise COX-2 inhibitor NSAID .
use and stomach protectant (Ex. Pantoporazole) .
Avoid taking before surgery .
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ADDITIONAL NOTES
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. References
. https://www.healthlinkbc.ca/medications/tv8531
. https://en.wikipedia.org/wiki/Nonsteroidal_anti-inflammatory_drug
https://www.myvmc.com/treatments/nsaids-non-steroidal-anti-infl‐
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ammatory-drugs/
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Davis's Nursing Drug Guide 16th Edition
. Drug Information Handbook with International Trade Names Index
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